| A multi-level model of condom use among male and female upper primary school students in Nyanza, Kenya. | |
| | |
MedLine Citation:
|
PMID: 20570426 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Although several studies have emphasized the relevance of community level variables to AIDS prevention among young people in sub-Saharan Africa, few have tested the empirical connections between such variables and sexual behaviors. Using data from 3645 sexually experienced grade 6 and 7 students from 160 schools, modeled on Fisher and Fisher's information-motivation-behavioral skills (IMB) model (2000, 1993) and Campbell's identification of community influences (2003), this study applies hierarchical linear models to estimate the effects of individual and community level variables on condom use among youth in Nyanza Province, Kenya. Four separate models were fit for both males and females. Results show significant differences across schools and communities regarding condom use. The predictors of reported condom use at last intercourse for both males and females were ethnicity, pressure to engage in sexual intercourse, and condom self efficacy. While age, religion, rejecting myths about the spread of HIV, and talking to male relatives about HIV/AIDS were all positively related to condom use for males, risk perception, socio-economic status of the school and school sponsorship by a religious group were negatively related to the outcome variable. For females, abstinence self efficacy and HIV prevention programming in community festivals were additional significant predictors, both increasing the odds of condom use. Our results suggest that there are marked differences in factors influencing reported condom use among males and females in Nyanza, Kenya. While some of these factors exist at the individual level, others exist at the school/community level. Based on our findings, we recommend that AIDS prevention interventions take account not only of individual-level factors, but also school/community influences on the sexual behaviors of youth. |
| | |
Authors:
|
Eleanor Maticka-Tyndale; Eric Y Tenkorang |
Related Documents
:
|
8245746 - Effect of health education programme on knowledge about aids and hiv transmission in pa... 7883946 - Aids knowledge, occupational precautions, and public education activities among law enf... 18569366 - Reporting aids and the invisible victims in china: official knowledge as news in the pe... 20053016 - The developmental relations between conceptual and procedural knowledge: a multimethod ... 19728766 - Reducing the risk of pandemic influenza in aboriginal communities. 17401036 - Social problem-solving plus psychoeducation for adults with personality disorder: pragm... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-05-05 |
Journal Detail:
|
Title: Social science & medicine (1982) Volume: 71 ISSN: 1873-5347 ISO Abbreviation: Soc Sci Med Publication Date: 2010 Aug |
Date Detail:
|
Created Date: 2010-07-08 Completed Date: 2010-08-11 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8303205 Medline TA: Soc Sci Med Country: England |
Other Details:
|
Languages: eng Pagination: 616-25 Citation Subset: IM |
Copyright Information:
|
Copyright 2010 Elsevier Ltd. All rights reserved. |
Affiliation:
|
University of Windsor, Department of Sociology, Anthropology & Criminology, Windsor, Ontario, N9B 3P4 Canada. maticka@uwindsor.ca |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adolescent Behavior / psychology* Child Condoms / utilization* Female HIV Infections / psychology Health Knowledge, Attitudes, Practice* Humans Kenya Linear Models Male Multilevel Analysis Questionnaires Religion Residence Characteristics Schools Self Efficacy Sex Factors Socioeconomic Factors Students / psychology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Blood Pressure Target in Individuals Without Diabetes: What Is the Evidence?
Next Document: Professional status in a changing world: The case of medicines use reviews in English community phar...